Monitoring surgical performance using risk-adjusted cumulative sum charts

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Monitoring surgical performance using risk-adjusted cumulative sum charts.

The cumulative sum (CUSUM) procedure is a graphical method that is widely used for quality monitoring in industrial settings. More recently it has been used to monitor surgical outcomes whereby it 'signals' if sufficient evidence has accumulated that there has been a change in the surgical failure rate. A limitation of the standard CUSUM procedure in this context is that since it is simply base...

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Monitoring paired binary surgical outcomes using cumulative sum charts.

Correlated binary data are encountered in many areas of medical research, system reliability and quality control. For monitoring failures rates in such situations, simultaneous bivariate cumulative sum (CUSUM) charts with the addition of secondary control limits are proposed. Using an approach based on a Markov chain model, the run length properties of such a monitoring scheme can be determined...

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In recent years risk-adjusted control charts have been increasingly studied for monitoring surgical outcomes by accounting for patients’ health conditions prior to surgery. However, most existing research focuses on phase II monitoring, and very little work has been done on phase I control of surgical outcomes. In this paper, a general phase I risk-adjusted control chart is proposed for monitor...

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Monitoring binary outcomes using risk-adjusted charts: a comparative study.

Monitoring binary outcomes when evaluating health care performance has recently become common. Classical statistical methodologies such as cumulative sum (CUSUM) charts have been refined and used for this purpose. For instance, the risk-adjusted CUSUM chart (RA-CUSUM) for monitoring binary outcomes was proposed for monitoring 30-day mortality following cardiac surgery. The RA-CUSUM inherits opt...

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ژورنال

عنوان ژورنال: Biostatistics

سال: 2000

ISSN: 1465-4644,1468-4357

DOI: 10.1093/biostatistics/1.4.441